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1043480551
MICHAEL LOUIS COSTA
STATEN ISLAND, NY
NPI
1043480551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 053358-1)
Enumeration Date
2008-03-11
Last Update Date
2011-08-16
Business Address
Dr. MICHAEL LOUIS COSTA dmd
62 HART BLVD
STATEN ISLAND, NY 10301-2613
Phone number: 718-442-3982
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Mailing Address
Dr. MICHAEL LOUIS COSTA dmd
62 HART BLVD
STATEN ISLAND, NY 10301-2613
Phone number: 718-442-3982
Copy
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